HomeMy WebLinkAbout0157314-Electric (new pedistal) � CITY OF OSHKOSH No 157314
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3733 GLENSHIRE LN Owner PAULIE HENDRICKSON Create Date 08/20/2013
Contractor M.R.TEAS INC _ Category 610-Residential-New Single Family Servi Plan
Inspector Adam Krause
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Service I� New � Change � Temp 0 N/A Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances � -- -- - ----�
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Use/Nature of MOBILE HOME/NEW PEDISTAL
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Work ,
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Fees: Valuat' n $650.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: � Date 08/20/2013
❑ Permit Voided 'j Parcel Id# 1278400000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no uthority t enforce easement restrictions of which it is not a party, if you perform the work
described in this permit appli ti w in a easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to s re a n s a Is before starting such activity.
Signature Date �� ZC1 '��j
AgenUOwner
Address 7065 WO DENSHOE RD NEENAH WI 54956 -9747 Telephone Number (920)720-2288
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oslikosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 5490�-1130
Phone(920)236-5050
Fax (920)236-5084 Of HKOlH
ON THF WATFR ��
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticipating in the Permit Fee Account Svstem and have adeguate funds check here
if vou want this nr•ocessed throu�vour account ❑
DATE S�� "(3
JOB ADDRESS__ �7��( � (� �s Ci�1^�
OWNER���L(,�c O�S� �'I tt✓ � �°
CONTRACTOR � a`� e—� .,� 1"I��/
CHECK Lf ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial �
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
�'Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts (� / ?�� Receptacles# Circuits#
Phase f
Amps �$t� Switches# Fixtures# '
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace p ❑A/C A ���� ���lectric Sign
❑Motors ❑Gas Pum s ❑Other �✓��( �
DESCRIPTION OF ALL WORK BEING DONE ���,u,c� �.pCY � S��
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VALUE(Including labor and all materials including light fixtures)$ Cp� �
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MASTER ELECTRICIAN
3/02